Senate File 2002 - Introduced SENATE FILE 2002 BY JOCHUM A BILL FOR An Act establishing a notification requirement for mammogram 1 reports and written statements to patients. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5109XS (3) 85 ad/nh
S.F. 2002 Section 1. Section 136C.3, subsection 10, Code 2014, is 1 amended to read as follows: 2 10. a. Adopt rules specifying the minimum training and 3 performance standards for an individual using a radiation 4 machine for mammography, and other rules necessary to 5 implement section 136C.15 . The rules shall complement federal 6 requirements applicable to similar radiation machinery and 7 shall not be less stringent than those federal requirements. 8 b. (1) Adopt rules to require that, by January 1, 2015, a 9 facility where mammography services are performed shall include 10 information on breast density in mammogram reports sent to 11 referring physicians and written statements sent to patients 12 pursuant to regulations implementing the federal Mammography 13 Quality Standards Act of 1992, Pub. L. No. 102-539, as amended. 14 A written statement sent to a patient who has dense breast 15 tissue, as determined by the interpreting physician based on 16 standards as defined in nationally recognized guidelines or 17 systems for breast imaging reporting of mammography screening, 18 including the breast imaging reporting and data system of the 19 American college of radiology, shall contain the following 20 language: 21 Your mammogram demonstrates that you may have dense breast 22 tissue. Dense breast tissue is very common and is not 23 abnormal. However, dense breast tissue can make it more 24 difficult to find cancer on a mammogram. A report of your 25 mammography results, which contains information about your 26 breast density, has been sent to your referring physician’s 27 office, and you should contact your physician if you have any 28 questions or concerns about this report. 29 (2) Nothing in this paragraph “b” shall be construed to 30 create or impose liability on a facility where mammography 31 services are performed beyond the duty to provide the 32 information set forth in this paragraph “b” . 33 (3) Nothing in this paragraph “b” shall be deemed to require 34 a notice or the provision of information that is inconsistent 35 -1- LSB 5109XS (3) 85 ad/nh 1/ 2
S.F. 2002 with the provisions of the federal Mammography Quality 1 Standards Act of 1992, Pub. L. No. 102-539, as amended, or any 2 regulations promulgated pursuant to that Act. 3 EXPLANATION 4 The inclusion of this explanation does not constitute agreement with 5 the explanation’s substance by the members of the general assembly. 6 This bill establishes a notification requirement for 7 mammogram reports and written statements to patients. The bill 8 directs the department of public health to adopt rules that 9 require a facility performing mammography services to include 10 information on breast density in reports sent to referring 11 physicians and written statements sent to patients pursuant to 12 federal law and rules. If a patient has dense breast tissue, 13 as determined by the interpreting physician based on nationally 14 recognized guidelines or systems for breast imaging reporting, 15 the written statement must contain a notice with the language 16 provided in the bill. The notice informs the patient that the 17 mammogram demonstrates the patient may have dense breast tissue 18 and directs the patient to contact the physician with further 19 questions or concerns. 20 The bill’s provisions are not to be construed to impose 21 liability on the facility performing mammography services 22 beyond the duty to provide the breast density information. 23 Facilities providing mammography services must comply with 24 the bill’s requirements by January 1, 2015. 25 -2- LSB 5109XS (3) 85 ad/nh 2/ 2